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Individual

DR. LESLIE ELIZABETH CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
9600 SW OAK ST, STE 325, TIGARD, OR 97223-6588
(503) 807-7413
(503) 935-5884
Mailing address
9600 SW OAK ST, STE 325, TIGARD, OR 97223-6588
(503) 807-7413
(503) 935-5884

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1386
OR
103TM1800X
Intellectual & Developmental Disabilities Psychologist
1386
OR
103TR0400X
Rehabilitation Psychologist
1386
OR

Other

Enumeration date
10/12/2006
Last updated
02/09/2016
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